Aug 23, 2024

BCBS Kansas and Hutchinson Clinic still at an impasse

Posted Aug 23, 2024 1:00 PM

This story has been updated with a statement from the Hutchinson Clinic.

NICK GOSNELL
Hutch Post

HUTCHINSON, Kan. — The Hutchinson Clinic and Blue Cross Blue Shield of Kansas are still at an impasse when it comes to 2025 rates for customers that have BCBS coverage through an employer. 

In a letter sent to local companies obtained by Hutch Post earlier this summer, the Hutchinson Clinic announced then it will not be doing business with Blue Cross Blue Shield in-network next year. This decision, if it stands, will effect a little over 26,000 Hutch Clinic patients.

Spokesperson Kristi Zears for Blue Cross Blue Shield emailed Hutch Post Thursday with an update. That statement is below.

"As a long-standing partner with Hutchinson Clinic, we are disappointed with their decision to terminate the contract. This decision, which was shared prior to the release of the 2025 reimbursement rates, limits provider choice for members in the Hutchinson area. We have had continued conversations with Hutchinson Clinic and have provided them an opportunity to reconsider their decision until September 3. We hope they will do what is in the best interest of the community.

"As always, with nearly 100 percent of providers and hospitals in our network, Blue Cross and Blue Shield of Kansas is committed to serving our members and helping them through their health journeys."

Hutch Clinic was also contacted and sent this response on Friday.

"The Hutchinson Clinic has been working diligently to analyze the complex Fee Schedule received from BCBSKS on July 31. The Clinic has requested a meeting with BCBSKS for the week of Aug. 26 to clarify some outstanding questions. Regardless of the outcome of this meeting, the Hutchinson Clinic will always prioritize patient care. Should we ultimately end up out of network with BCBSKS, the Hutchinson Clinic will provide affordable out-of-network options so our patients can continue seeking treatment with their physicians at our Clinic."

BCBS is still in network for employer-provided coverage through the remainder of 2024. This decision is not connected with Medicare Advantage coverage, as that is under a separate arrangement.

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HUTCHINSON, Kan. — The Hutchinson Clinic and Blue Cross Blue Shield of Kansas are still at an impasse when it comes to 2025 rates for customers that have BCBS coverage through an employer. 

In a letter sent to local companies obtained by Hutch Post earlier this summer, the Hutchinson Clinic announced then it will not be doing business with Blue Cross Blue Shield in-network next year. This decision, if it stands, will effect a little over 26,000 Hutch Clinic patients.

Spokesperson Kristi Zears for Blue Cross Blue Shield emailed Hutch Post Thursday with an update. That statement is below.

"As a long-standing partner with Hutchinson Clinic, we are disappointed with their decision to terminate the contract. This decision, which was shared prior to the release of the 2025 reimbursement rates, limits provider choice for members in the Hutchinson area. We have had continued conversations with Hutchinson Clinic and have provided them an opportunity to reconsider their decision until September 3. We hope they will do what is in the best interest of the community.

"As always, with nearly 100 percent of providers and hospitals in our network, Blue Cross and Blue Shield of Kansas is committed to serving our members and helping them through their health journeys."

Hutch Clinic was also contacted and had not responded as of the publication of this piece on Friday morning.

BCBS is still in network for employer-provided coverage through the remainder of 2024. This decision is not connected with Medicare Advantage coverage, as that is under a separate arrangement.